| Endocrinology Specialists, Pc | |
|
540 South St Suite 306 Greensburg PA 15601-2774 | |
| (724) 832-3130 | |
| (724) 832-7301 |
| Full Name | Endocrinology Specialists, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 540 South St, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Stephan Kowalyk (PRESIDENT) |
| Authorized Official Contact | 7248323130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Specialists, Pc 540 South St Suite 306 Greensburg PA 15601-2774 Ph: (724) 832-3130 | Endocrinology Specialists, Pc 540 South St Suite 306 Greensburg PA 15601-2774 Ph: (724) 832-3130 |
| NPI Number | 1093812703 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 01/08/2016 |
| Medicare PECOS PAC ID | 7911994678 |
|---|---|
| Medicare Enrollment ID | O20040427000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093812703 | NPI | - | NPPES |
| DA5194 | Other | PA | RAILROAD MEDICARE |
| 1007585760003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Stephan Kowalyk |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457458168 PECOS PAC ID: 7810984572 Enrollment ID: I20100617000222 |
| Provider Name | Mani Bashyam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801993514 PECOS PAC ID: 9335279397 Enrollment ID: I20100617000706 |
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